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Individual

MRS. GABRIELLE LOUISE SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
113 FLAGG PL STE B, LAFAYETTE, LA 70508-7025
(337) 573-5884
Mailing address
102 SOARING CV, CARENCRO, LA 70520-5851
(985) 226-0997

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9507
LA

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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